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2025-107Click llcrc To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to lmccoriolo�yticrtownofwa irr~ernv.�)ov or robinson(ji;townoRvappin, e�".rfiVd - is mail to 2.0 Middlebush. Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ON Received by: Joseph P. Pao f*'I t t°� Lori McConologue Grace Robinson Date Received: I I FOIL Ser. #: DEPARTMENT: ASSESSOR ACCOUNTING ❑ CODE ENFORCEMENT HIGHWAY ❑ RECEIVER OF TAXES ❑ RECREATION 0 SUPERVISOR] I request copies of the records described above and agree to pay the cost of such records in TOWN CLERK ❑ WATER/SEWER ❑ DOG CONTROL OFFICER CI TOWN ENGINEER ❑ TOWN ATTORNEY ❑ TOWN OF WAPPINGER . � �- ublic Access to Records A Zrim- REO U ST � 0 BiAldinag Departrnent TOWN OF WAPPINGER FOR DEPARTMENT USE ONL CV" Date Received by Dept / Department Head approval: -CAL (init), Date Applicant Contacted: J / Date FOIL. fulfilled or denied: Closed by: Date: 3 IXj / r Notes: re t/i ewe r 1'(N r.. Amount. Due: — Pages for a total.. of $ --- Name: (" , r... b� �V. 9"l"1 ❑check here if you are Address; sal, rw. ,: t �r`," r..;;rc requesting that the records be mailed to this address. Agency or firm: Telephone #: (; r i }` t ^°, FAX #: ( ) Email address: - _, .w�`d.,r t _.,w ..._,_ SPECIFIC DESCRIPTION OF RECORD; FORMAT OF RECORD (if available) HIrequest to be notified when I can come to inspect the record(s) described above I request copies of the records described above and agree to pay the cost of such records in ❑] accordance with the fee schedule on the back of this application I request that the records be sent via e-mail to the address listed above I request that the records be faxed to the number listed above